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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

The Medicines Repurposing Program – a critical perspective

Narcyz Ghinea https://orcid.org/0000-0002-1457-7252 A *
+ Author Affiliations
- Author Affiliations

A Philosophy Department, Faculty of Arts, Ethics and Agency Research Centre, Macquarie University, North Ryde, NSW 2109, Australia.

* Correspondence to: narcyz.ghinea@mq.edu.au

Australian Health Review https://doi.org/10.1071/AH24077
Submitted: 9 March 2024  Accepted: 18 April 2024  Published: 7 May 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

The Medicines Repurposing Program was launched on 1 March 2024. It provides a pathway for registering and subsidising off-label medicines of significant public health benefit but which sponsors have no financial incentive to pursue. This article provides a short overview and critical analysis of the program. One concern that emerges is that commercial sponsors still retain de facto veto power over which off-label uses are prioritised and so have the capacity to sway the process. Simple suggestions are proposed to help mitigate this risk.

Keywords: access to medicines, commercial determinants of health, health policy, health technology assessment, inequity, medicine repurposing, off-label medicines, orphan drugs, Pharmaceutical Benefits Scheme, pharmaceutical regulation, Therapeutic Goods Administration.

References

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